Nurse Moose
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    Exam Review

    1. A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?
      A)Shift attention from self to the needs and requests of others
      B)Relax and reduce the amount of effort to solve the problem.
      C)Focus on small achievable tasks, not taxing problems.
      D)Concentrate on and ventilate emotions when distressed.
    2. A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?
      A)Returns to her previous level of functioning.
      B)Identifies four of her positive personal traits.
      C)Initiates an exercise program to help deal with stress.
      D)Describes what she wants from a romantic relationship.
    3. A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?
      A)Returns to her previous level of functioning.
      B)Identifies four of her positive personal traits.
      C)Initiates an exercise program to help deal with stress.
      D)Describes what she wants from a romantic relationship.
    4. When the nurse addresses questions to an adult female client who is depressed, the client's responses are delayed. Which intervention should the nurse include in this client's plan of care?
      A)Involve client in a daily exercise program.
      B)Ask the client to describe her depression.
      C)Spend time sitting in silence with the client.
      D)Observe for signs of possible psychosis.
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    Exam Review

    1. A client reports needing to increase opioid dosage to achieve the original level of pain relief.Which action should the nurse take?
      A)Explain that opioid receptor response reduces with continued use.
      B)Collect information on all sources used to obtain opioids.
      C)Advise that detoxification will be needed to reattain pain relief.
      D)Discuss the dangers of using opioids for non-medical purposes.
    2. A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care about me the way you do." Which response should the nurse provide to this client?
      A)I do care about you as a person but nothing more.
      B)I am not the best nurse. All the nurses are good.
      C)The other nurses and I are here to help you get better.
      D)You don't think the other nurses care about you?
    3. Following the visit, what are appropriate actions for the nurse? Select all that apply.(SATA)
      A)Mail education items to the home for batterer treatment options
      B)Provide referrals from the physician for mental health services
      C)Follow up with the client in a few weeks
      D)Call the police as a mandatory reporter
      E)Document verbatim statements about the abuse
    4. An antidepressant medication is prescribed for a client who reports sleeping only four hours in the past two days and a weight loss of nine pounds within the last month. Which client goal is most important to achieve within the first three days of treatment?
      A)Understands the purpose of the medication regimen.
      B)Sleeps at least six hours a night.
      C)Describes the reasons for hospitalization.
      D)Meets scheduled appointment with the dietitian.
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    Exam Review

    1. A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?
      A)White blood cell count.
      B)24-hour urinary output.
      C)Blood sugar level.
      D)Current vital signs.
    2. A client is admitted to the mental health unit and sits in the corner of the day room. When the nurse begins the admission assessment interview, the client is guarded, suspicious, and resists talking. Which action should the nurse implement?
      A)Ask another nurse to talk with the client.
      B)Document the client's paranoid behavior.
      C)Postpone the client interview until the next day.
      D)Attempt to ask the client simple questions.
    3. The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?
      A)Five-pound (2.3 kg) weight gain.
      B)Depressed affect.
      C)Nausea and vomiting
      D)Short-term memory loss.
    4. The nurse plans to use role-playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?
      A)A hyperactive 4-year-old who has recently been tested for autism.
      B)An adolescent who is depressed over not being accepted by peers.
      C)An older adult resident of a long-term care facility who sometimes takes other residents' belongings.
      D)An adult with schizophrenia who often refuses to take prescribed antipsychotic medications.
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    Exam Review

    1. A client with a history of alcoholism is admitted for detoxification. Based on treatment protocol, the nurse gives the client a dose of lorazepam 6 mg. Which additional prescription should the nurse administer immediately?
      A)Haloperidol
      B)Folic Acid.
      C)Trazodone
      D)Vitamin B1.
    2. When responding to a call light, the nurse finds a client with aggressive behaviors pacing and restless in the room. The client shouts, "What took you so long to get in here!" Which action should the nurse implement?
      A)Provide for personal space.
      B)Stand in the doorway.
      C)Request backup from the staff
      D)Encourage the client to sit down.
    3. A young female client is admitted to the emergency room because she was raped that evening by her date. Which computer documentation should the nurse enter in the electronic medical record as the client's chief complaint?
      A)Client has been sexually assaulted.
      B)Client reported that she had sexual relations against her will.
      C)Client claims that she was forced to participate in sexual intercourse.
      D)Client states, "My date raped me tonight."
    4. A male client tells the nurse that he does not want to take the atypical antipsychotic drug olanzapine because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?
      A)Thoughts of wanting to hurt himself.
      B)Frequent days with diarrhea.
      C)Weight gain of 75 pounds (34 kg).
      D)Altered liver function tests.
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    Exam Review

    1. A client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. Which intervention is best for the nurse to implement?
      A)Isolate the client from other clients.
      B)Administer a PRN sedative.
      C)Escort the client to a private area.
      D)Avoid recognizing the behavior.
    2. The nurse is caring for a client who is experiencing extreme sadness after the passing of a companion of 30 years. The client describes not being able to think of other things and finds it difficult to control emotions. Which action should the nurse take first?
      A)Explore changes in life that have occurred after the loss.
      B)Suggest the need for a psychiatric consultation.
      C)Offer a referral to pastoral counseling.
      D)Encourage attending a local support group.
    3. A female client with bulimia is admitted to the mental health unit after she disclosed to a friend that she purges after meals. Which intervention should the nurse implement first?
      A)Discuss alternative strategies for binging and purging.
      B)Provide a supportive, structured environment for meals.
      C)Monitor the client after meals for possible vomiting.
      D)Assess weight, vital signs, potassium, and other electrolytes.
    4. A client with post-traumatic stress disorder (PTSD) is admitted to the psychiatric unit. Which intervention is most important for the nurse to include in this client's plan of care?
      A)Provide a quiet room away from the recreational area.
      B)Acquaint the client with the rules of the unit.
      C)Ensure that the client eats a well-balanced diet.
      D)Introduce the client to other clients with a similar diagnosis.
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